| Faith Aimua | |
|
206 Princeton Rd Ste 18 Johnson City TN 37601-2025 | |
| (423) 631-0024 | |
| (423) 631-0047 |
| Full Name | Faith Aimua |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 206 Princeton Rd Ste 18, Johnson City, Tennessee |
| Authorized Official Name and Position | Faith Aimua (PSYCHIATRIST) |
| Authorized Official Contact | 4236310024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Aimua Po Box 4358 Johnson City TN 37602-4358 Ph: (423) 913-4188 | Faith Aimua 206 Princeton Rd Ste 18 Johnson City TN 37601-2025 Ph: (423) 631-0024 |
| NPI Number | 1679040075 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Medicare PECOS PAC ID | 0840543104 |
|---|---|
| Medicare Enrollment ID | O20181102001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679040075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Faith A Aimua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538450408 PECOS PAC ID: 1759551849 Enrollment ID: I20110829000144 |
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